Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
Although relatively few Medicaid beneficiaries are in capitated managed long-term services and supports (LTSS) programs, significant expansion is anticipated as more than half of states are implementing or proposing new programs that would include a transition from fee-for-service (FFS) to capitated managed care in the LTSS delivery system. By definition, these Medicaid beneficiaries need assistance with activities of daily living. Thus poor transitions, particularly those that lead to gaps in services, can have dire consequences. This issue paper examines key policy and operational considerations related to the transition from FFS to risk-based capitated managed care for LTSS.
Issue Brief (.pdf)
also of interest
- How is the Affordable Care Act Leading to Changes in Medicaid Long-Term Services and Supports (LTSS) Today? State Adoption of Six LTSS Options
- Money Follows the Person: A 2012 Survey of Transitions, Services and Costs
- Money Follows the Person Medicaid Demonstration Program: Helping People Move Back Home